脉弱小便复利，身有微热，见厥者死。
脉紧而涩者难治。
趺阳脉浮，胃虚不食，恐怖，死；宽，缓生。
脉涩小，血不足。大而弱，气不足。又脉同胃反。
盖因脉虚火起，气虚火炽，血液既耗，肠胃津涸，传化失宜。或因痰隔，妨
碍升降，气不交通，皆令食而复出也。大概因津血俱耗，胃脘亦槁，在上近咽之
下，水饮可行，食物难入，间或可入，入亦不多，曰噎。其槁在下，与胃为近，食
虽可进，难尽入胃，良久复出，曰膈，即翻胃也。大便秘如羊屎，小便热，
各虽不同，病则一也。三阳结，谓之膈（三阳，大肠、小肠、膀胱也。）小肠结热则
血脉燥；大肠结热则后不通；膀胱结热则津液涸。三阳既结，前后闭，必反而上。
治宜润血降火解结。牛羊乳、韭汁、竹沥、童便、蜜（润燥），姜汁（去秽，）甘蔗汁（解
酒毒），气虚以四君子为君，血虚四物为君。或加桃仁、红花，驴溺（防其生虫）。
三因有五噎五膈
气噎者，心悸上下不通，噫哕不彻，胸背痛。
忧噎者，遇天阴冷，手足厥冷不能自温。
劳噎者，气上鬲，胁下支满，胸中填塞，攻背痛。
思噎者，心怔忡，喜忘，目视慌慌。
食噎者，食无多少，胃中苦寒痛，不得喘息。
忧膈者，胸中气结，津液不通，饮食不下，羸瘦短气。
思膈者，中脘逆满，噫则酸心，饮食不消，大便不便。
怒膈者，胸膈逆满，噫塞不通，呕则筋急，恶闻食臭。
喜膈者，五心烦热，口舌生疮，四肢倦重，身常发热，胸痹引背，食少。
恐膈者，心腹胀满，咳嗽气逆，腹中逆冷雷鸣绕脐痛，不能食。
有人血耗，便如羊屎，病胃反半年，脉涩不匀，先服六君子汤，加甘蔗汁、
附子、大黄、童便。便润，服牛乳愈。
If the pulse is weak and urination is frequent, accompanied by slight fever and cold extremities (Jue), it indicates a fatal prognosis.
A tight and choppy pulse is difficult to treat.
A floating Fu Yang pulse (pulse at the dorsum pedis, reflecting Stomach Qi) indicates deficient Stomach Qi leading to anorexia and fear; this is fatal. A broad and slow pulse indicates recovery.
A choppy and small pulse indicates insufficient Blood. A large and weak pulse indicates insufficient Qi. Such pulses are also seen in Wei Fan (Stomach Reversal, characterized by vomiting of undigested food).
This is generally due to deficiency fire arising from a deficient pulse, or blazing fire from Qi deficiency. After the Blood has been consumed and the fluids of the intestines and stomach have dried up, transportation and transformation become disordered. Alternatively, phlegm obstruction may hinder the ascending and descending of Qi, preventing Qi communication, all of which cause food to be vomited after ingestion. Generally, when both fluids and Blood are depleted, the epigastrium becomes withered. If the lesion is upper, near the throat below the pharynx, liquids can pass, but solid food enters with difficulty, and even if it does, the amount is small; this is called "Ye" (Dysphagia). If the lesion is lower, near the Stomach, although food can enter, it cannot fully reach the Stomach and is vomited out after a long time; this is called "Ge" (Regurgitation), also known as Fan Wei (Reversal Stomach). Constipation resembling sheep droppings and hot urination differ in symptoms but share the same pathology. "San Yang" (Large Intestine, Small Intestine, Bladder) knotting is called Ge. Heat knotting in the Small Intestine causes dryness of blood vessels; heat knotting in the Large Intestine causes constipation; heat knotting in the Bladder depletes body fluids. Once San Yang are knotted, both anterior and posterior orifices are blocked, causing Qi to reverse upward. Treatment should focus on nourishing Blood, descending Fire, and resolving knots. Use cow/sheep milk, chive juice, bamboo sap, child's urine, and honey to moisten dryness; ginger juice to remove turbidity; sugarcane juice to resolve alcohol toxicity. For Qi deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction) as the base; for Blood deficiency, use Si Wu Tang (Four Substance Decoction) as the base. Peach kernel (Tao Ren) and Safflower (Hong Hua) may be added, along with donkey urine (to prevent parasitic infection).
There are five types of Ye and five types of Ge caused by the Three Causes:
Qi Ye: Palpitations, blockage of Qi flow up and down, incomplete belching and hiccups, chest and back pain.
You Ye (Worry Ye): Cold hands and feet that cannot warm themselves during cloudy or cold weather.
Lao Ye (Labor Ye): Qi rising to the diaphragm, fullness and distension under the ribs, sensation of filling in the chest, radiating back pain.
Si Ye (Thinking Ye): Heart palpitations, forgetfulness, blurred vision.
Shi Ye (Food Ye): Cold pain in the stomach regardless of food intake, inability to breathe easily.
You Ge (Worry Ge): Knotting of Qi in the chest, blockage of fluids, inability to swallow food, emaciation, and shortness of breath.
Si Ge (Thinking Ge): Reverse Qi and fullness in the Zhong Wan region, sour taste upon belching, indigestion, and constipation.
Nu Ge (Anger Ge): Reverse Qi and fullness in the chest and diaphragm, blocked belching, muscle spasms during vomiting, aversion to the smell of food.
Xi Ge (Joy Ge): Five-center heat (heat in palms, soles, and chest), mouth and tongue ulcers, heavy and fatigued limbs, constant low-grade fever, chest bi syndrome radiating to the back, and poor appetite.
Kong Ge (Fear Ge): Abdominal distension and fullness, coughing with reverse Qi, cold sensations in the abdomen, borborygmus like thunder around the umbilicus, and inability to eat.
A case: A patient with depleted Blood had stool resembling sheep droppings and suffered from Wei Fan for half a year. The pulse was choppy and irregular. Initially, Liu Jun Zi Tang (Six Gentlemen Decoction) was administered with added sugarcane juice, Prepared Aconite Root (Fu Zi), Rhubarb (Da Huang), and child's urine. After the stool became moist, Cow Milk cured the condition.